Hypertensive disorders: pre-eclampsia before 20 weeks: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Hypertensive disorders: pre-eclampsia before 20 weeks

Sample item

A woman at 14 weeks has blood pressure 160/110 mmHg, proteinuria, a uterus larger than dates and vomiting. Which underlying condition should be suspected?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Hydatidiform mole

Pre-eclampsia before 20 weeks is unusual and suggests a molar pregnancy, triploidy or antiphospholipid syndrome. An enlarged uterus, vomiting and early hypertension with proteinuria are classic for a molar pregnancy, and ultrasound confirms it.

Option by option

  • A. Hydatidiform mole (correct)

    Correct. Early severe hypertension with a large uterus suggests a mole.

  • B. Renal artery stenosis

    Renal artery stenosis does not explain the uterine size or vomiting.

  • C. Chronic essential hypertension

    Essential hypertension would not explain the large uterus and new proteinuria.

  • D. Twin pregnancy

    Twin pregnancy raises the risk of pre-eclampsia, but later and not at 14 weeks.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is A, Hydatidiform mole. Pre-eclampsia before 20 weeks is unusual and suggests a molar pregnancy, triploidy or antiphospholipid syndrome.

Why is "Renal artery stenosis" not the answer?

Renal artery stenosis does not explain the uterine size or vomiting.

Why is "Chronic essential hypertension" not the answer?

Essential hypertension would not explain the large uterus and new proteinuria.

Why is "Twin pregnancy" not the answer?

Twin pregnancy raises the risk of pre-eclampsia, but later and not at 14 weeks.

What concept does this question test?

It tests Hypertensive disorders: pre-eclampsia before 20 weeks in OBG. An enlarged uterus, vomiting and early hypertension with proteinuria are classic for a molar pregnancy, and ultrasound confirms it.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Hypertensive disorders: pre-eclampsia before 20 weeks?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.